Dr William A Willis, MD is a medicare enrolled "General Practice" physician in Poteau, Oklahoma. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Pro-care Family Health Of Oklahoma , Llc and his current practice location is
104 Wall St, Poteau, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 839-2159.
Dr William A Willis is licensed to practice in Oklahoma (license number 12280) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205875846.
Physician's Profile
| Full Name | Dr William A Willis |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 46 Years |
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| Location | 104 Wall St, Poteau, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr William A Willis graduated from medical school in 1978
NPI Data:
- NPI Number: 1205875846
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 06/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 6204831001
- Enrollment ID: I20060929000396
Medical Identifiers
Medical identifiers for Dr William A Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205875846 | NPI | - | NPPES |
| 100117220A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 12280 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pro-care Family Health Of Oklahoma , Llc | 1456603901 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr William A Willis allows following entities to bill medicare on his behalf.
| Entity Name | Pro-care Family Health Of Oklahoma , Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396234761
PECOS PAC ID: 1456603901
Enrollment ID: O20181010002297 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr William A Willis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr William A Willis, MD
Po Box 459,
Poteau, OK 74953-0459
Ph: (918) 839-2159 | Dr William A Willis, MD
104 Wall St,
Poteau, OK 74953
Ph: (918) 839-2159 |
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